Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C22H30N6O4S |
| Molecular Weight | 474.576 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CCCC1=NN(C)C2=C1N=C(NC2=O)C3=CC(=CC=C3OCC)S(=O)(=O)N4CCN(C)CC4
InChI
InChIKey=BNRNXUUZRGQAQC-UHFFFAOYSA-N
InChI=1S/C22H30N6O4S/c1-5-7-17-19-20(27(4)25-17)22(29)24-21(23-19)16-14-15(8-9-18(16)32-6-2)33(30,31)28-12-10-26(3)11-13-28/h8-9,14H,5-7,10-13H2,1-4H3,(H,23,24,29)
| Molecular Formula | C22H30N6O4S |
| Molecular Weight | 474.576 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
Sildenafil (Viagra, Revatio) is a PDE5 inhibitor which was approved by FDA for the treatment of erectile disfunction and adults with pulmonary arterial hypertension. Upon administration sildenafil inhibits PDE5 and results in elevated level of cyclic guanosine monophosphate and smooth muscle relaxation.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18388248
Curator's Comment: CNS activity was observed on rats.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1827 |
3.5 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Curative | VIAGRA Approved UseVIAGRA is a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction. Launch Date1998 |
|||
| Primary | REVATIO Approved UseREVATIO is a phosphodiesterase-5 (PDE-5) inhibitor indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group I) in adults to improve exercise ability and delay clinical worsening. Launch Date2005 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
159 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/11879254 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
530 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/11879254 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4 h |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
4.07 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/11879254 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4% |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
2000 mg single, oral Overdose |
healthy, 33 |
Disc. AE: Flushing, Headache... AEs leading to discontinuation/dose reduction: Flushing Sources: Headache Tachycardia (mild) |
2400 mg single, oral Overdose |
healthy, 33 |
Disc. AE: Visual field defect... AEs leading to discontinuation/dose reduction: Visual field defect Sources: |
250 mg single, oral Overdose |
unhealthy, 45 |
Disc. AE: Rhabdomyolysis, Visual disturbance NOS... AEs leading to discontinuation/dose reduction: Rhabdomyolysis Sources: Visual disturbance NOS |
80 mg 3 times / day multiple, oral Highest studied dose Dose: 80 mg, 3 times / day Route: oral Route: multiple Dose: 80 mg, 3 times / day Sources: |
unhealthy, 47.5 |
|
6.5 g single, oral Overdose |
healthy, 56 |
Disc. AE: Vomiting, Blurred vision... AEs leading to discontinuation/dose reduction: Vomiting (severe) Sources: Blurred vision Sinus tachycardia |
600 mg single, oral Overdose Dose: 600 mg Route: oral Route: single Dose: 600 mg Sources: |
healthy, 56 Health Status: healthy Age Group: 56 Sex: M Sources: |
Disc. AE: Cardiomegaly, Fibrosis myocardial... AEs leading to discontinuation/dose reduction: Cardiomegaly (grade 5) Sources: Fibrosis myocardial (grade 5) |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 58 |
Disc. AE: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Nausea (0.32%) Sources: Vomiting (0.32%) Leg pain (0.32%) Backache (0.32%) Intermittent headache (0.32%) Dyspepsia (0.32%) Headache (0.32%) |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 60 |
Disc. AE: Headache, Flushing... AEs leading to discontinuation/dose reduction: Headache (0.61%) Sources: Flushing (0.61%) |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 60 |
Disc. AE: Headache, Flushing... AEs leading to discontinuation/dose reduction: Headache (0.9%) Sources: Flushing (0.44%) Blurred vision (0.44%) Groin pain (1.3%) |
400 mg single, oral Overdose |
unhealthy, 67 |
Disc. AE: Acute kidney injury... AEs leading to discontinuation/dose reduction: Acute kidney injury Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Flushing | Disc. AE | 2000 mg single, oral Overdose |
healthy, 33 |
| Headache | Disc. AE | 2000 mg single, oral Overdose |
healthy, 33 |
| Tachycardia | mild Disc. AE |
2000 mg single, oral Overdose |
healthy, 33 |
| Visual field defect | Disc. AE | 2400 mg single, oral Overdose |
healthy, 33 |
| Rhabdomyolysis | Disc. AE | 250 mg single, oral Overdose |
unhealthy, 45 |
| Visual disturbance NOS | Disc. AE | 250 mg single, oral Overdose |
unhealthy, 45 |
| Blurred vision | Disc. AE | 6.5 g single, oral Overdose |
healthy, 56 |
| Sinus tachycardia | Disc. AE | 6.5 g single, oral Overdose |
healthy, 56 |
| Vomiting | severe Disc. AE |
6.5 g single, oral Overdose |
healthy, 56 |
| Cardiomegaly | grade 5 Disc. AE |
600 mg single, oral Overdose Dose: 600 mg Route: oral Route: single Dose: 600 mg Sources: |
healthy, 56 Health Status: healthy Age Group: 56 Sex: M Sources: |
| Fibrosis myocardial | grade 5 Disc. AE |
600 mg single, oral Overdose Dose: 600 mg Route: oral Route: single Dose: 600 mg Sources: |
healthy, 56 Health Status: healthy Age Group: 56 Sex: M Sources: |
| Backache | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 58 |
| Dyspepsia | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 58 |
| Headache | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 58 |
| Intermittent headache | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 58 |
| Leg pain | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 58 |
| Nausea | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 58 |
| Vomiting | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 58 |
| Flushing | 0.61% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 60 |
| Headache | 0.61% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 60 |
| Blurred vision | 0.44% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 60 |
| Flushing | 0.44% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 60 |
| Headache | 0.9% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 60 |
| Groin pain | 1.3% Disc. AE |
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, 60 |
| Acute kidney injury | Disc. AE | 400 mg single, oral Overdose |
unhealthy, 67 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Subjective visual halos after sildenafil (Viagra) administration: Electroretinographic evaluation. | 2001-05 |
|
| Antimitogenic actions of organic nitrates are potentiated by sildenafil and mediated via activation of protein kinase A. | 2001-05 |
|
| FIA of sildenafil citrate using UV-detection. | 2001-05 |
|
| Studies of Viagra offer some reassurance to men with concerns about cardiac effects. | 2001-04-18 |
|
| Safe use of sildenafil in patients with coronary artery disease. | 2001-04 |
|
| Cost-sharing for prescriptions of sildenafil and finasteride: a case study in veteran patients. | 2001-04 |
|
| Sildenafil citrate effectively reverses sexual dysfunction induced by three-dimensional conformal radiation therapy. | 2001-04 |
|
| Sildenafil citrate for penile hemodynamic determination: an alternative to intracavernosal agents in Doppler ultrasound evaluation of erectile dysfunction. | 2001-04 |
|
| Modulation of human platelet aggregation by the phosphodiesterase type 5 inhibitor sildenafil. | 2001-04 |
|
| Efficacy and safety of sildenafil citrate in the treatment of men with mild to moderate erectile dysfunction. | 2001-04 |
|
| Intracavernosal injection of sildenafil citrate: misapplication of the drug. | 2001-04 |
|
| [Side effects of sildenafil: findings from two years practical experience]. | 2001-03-17 |
|
| Cardiovascular events in users of sildenafil: results from first phase of prescription event monitoring in England. | 2001-03-17 |
|
| Narrowbore high-performance liquid chromatography for the simultaneous determination of sildenafil and its metabolite UK-103,320 in human plasma using column switching. | 2001-03-05 |
|
| Viagra: a three-year sexual revolution and the need to recognise its role within the NHS. | 2001-03 |
|
| Three-year update of sildenafil citrate (Viagra) efficacy and safety. | 2001-03 |
|
| Initial uptake in use of sildenafil in general practice. | 2001-03 |
|
| Anterior ischemic optic neuropathy associated with viagra. | 2001-03 |
|
| Identification of the cytochrome P450 enzymes involved in the N-demethylation of sildenafil. | 2001-03 |
|
| Alternatives to Viagra. | 2001-03 |
|
| Is brachytherapy comparable with radical prostatectomy and external-beam radiation for clinically localized prostate cancer? | 2001-03 |
|
| Sildenafil citrate and sperm function. | 2001-03 |
|
| Is the sildenafil product information adequate to facilitate informed therapeutic decisions? | 2001-03 |
|
| Comparison of FDA reports of patient deaths associated with sildenafil and with injectable alprostadil. | 2001-03 |
|
| Combination of phentolamine and L-arginine or sildenafil synergistically improves neurogenic relaxation of rabbit corpus cavernosum smooth muscle. | 2001-03 |
|
| Relapse prevention strategies and techniques with erectile dysfunction. | 2001-02-28 |
|
| [Research on impotence and marketing]. | 2001-02-20 |
|
| [Endocrinology 1999-2000]. | 2001-02-15 |
|
| Sildenafil-simvastatin interaction: possible cause of rhabdomyolysis? | 2001-02-15 |
|
| Assessment of as needed use of pharmacotherapy and the pause-squeeze technique in premature ejaculation. | 2001-02 |
|
| Oral alpha adrenoceptor blockade as a treatment of erectile dysfunction. | 2001-02 |
|
| Central effects of sildenafil (Viagra) on auditory selective attention and verbal recognition memory in humans: a study with event-related brain potentials. | 2001-02 |
|
| Sildenafil citrate, a selective phosphodiesterase type 5 inhibitor: urologic and cardiovascular implications. | 2001-02 |
|
| Changes in ED therapy in the Viagra era. | 2001-02 |
|
| Phosphodiesterase isoenzymes as pharmacological targets in the treatment of male erectile dysfunction. | 2001-02 |
|
| Intracerebral haemorrhage associated with sildenafil citrate. | 2001-02 |
|
| I've heard of an herbal alternative to Viagra for impotence. Does it work and is it safe? | 2001-02 |
|
| Efficacy of oral sildenafil in the treatment of erectile dysfunction in diabetic men with positive response to intracavernosal injection of alprostadil. | 2001-02 |
|
| Sildenafil citrate (VIAGRA) improves erectile function in elderly patients with erectile dysfunction: a subgroup analysis. | 2001-02 |
|
| [Drug treatment of erection disorders in patients with cardiovascular disease]. | 2001-01-27 |
|
| [Erectile dysfunction in coronary heart disease. No fear about the blue pill]. | 2001-01-18 |
|
| [Paths to sexual satisfaction. What will stimulate the tired man?]. | 2001-01-18 |
|
| [Prescribing of sildenafil by national insurance program physicians. What basic sexual medicine qualification is required?]. | 2001-01-11 |
|
| The role of nitric oxide in penile erection. | 2001-01 |
|
| Emergency sperm extraction for transient erectile dysfunction prior to assisted conception. | 2001-01 |
|
| Sildenafil citrate: a therapeutic update. | 2001-01 |
|
| A risk-benefit assessment of sildenafil in the treatment of erectile dysfunction. | 2001 |
|
| Use of sildenafil in penile implant patients. | 2001 |
|
| 'Viagra effect' - influence of mass media on patient behavior. | 2001 |
|
| Strategies for the treatment of antidepressant-related sexual dysfunction. | 2001 |
Sample Use Guides
Erectile disfunction: For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. Pulmonary arterial hypertension: 5 mg or 20 mg three times a day, 46 hours apart (oral); 2.5 mg or 10 mg three times a day administered as an intravenous bolus injection.
Route of Administration:
Other
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:05:09 GMT 2025
by
admin
on
Mon Mar 31 18:05:09 GMT 2025
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| Record UNII |
3M7OB98Y7H
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| Record Status |
Validated (UNII)
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| Record Version |
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| Classification Tree | Code System | Code | ||
|---|---|---|---|---|
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NCI_THESAURUS |
C2127
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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EMA ASSESSMENT REPORTS |
VIZARSIN (AUTHORIZED: ERECTILE DYSFUNCTION)
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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EMA ASSESSMENT REPORTS |
REVATIO (AUTHORIZED: HYPERTENSION, PULMONARY)
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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WHO-VATC |
QG04BE03
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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EMA ASSESSMENT REPORTS |
VIAGRA (AUTHORIZED: ERECTILE DYSFUNCTIONS)
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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NDF-RT |
N0000175599
Created by
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NDF-RT |
N0000020026
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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EMA ASSESSMENT REPORTS |
SILDENAFIL RATIOPHARM (AUTHORIZED: ERECTILE DYSFUNCTIONS)
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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EMA ASSESSMENT REPORTS |
PATREX (WITHDRAWN: ERECTILE DYSFUNCTIONS)
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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FDA ORPHAN DRUG |
344211
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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EMA ASSESSMENT REPORTS |
SILDENAFIL ACTAVIS (AUTHORIZED: ERECTILE DYSFUNCTIONS)
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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EMA ASSESSMENT REPORTS |
SILDENAFIL TEVA (AUTHORIZED: ERECTILE DYSFUNCTIONS)
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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WHO-ATC |
G04BE03
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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EU-Orphan Drug |
EU/3/17/1885
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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LIVERTOX |
NBK548510
Created by
admin on Mon Mar 31 18:05:09 GMT 2025 , Edited by admin on Mon Mar 31 18:05:09 GMT 2025
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| Code System | Code | Type | Description | ||
|---|---|---|---|---|---|
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SILDENAFIL
Created by
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PRIMARY | |||
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SUB10517MIG
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PRIMARY | |||
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C61940
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PRIMARY | |||
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2441
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PRIMARY | |||
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3M7OB98Y7H
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PRIMARY | |||
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139755-83-2
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PRIMARY | |||
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100000089187
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PRIMARY | |||
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136411
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PRIMARY | RxNorm | ||
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CHEMBL192
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PRIMARY | |||
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135398744
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PRIMARY | |||
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7374
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PRIMARY | |||
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7305
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PRIMARY | |||
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4743
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PRIMARY | |||
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C101426
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PRIMARY | |||
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9139
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PRIMARY | |||
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3M7OB98Y7H
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PRIMARY | |||
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DTXSID6023579
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PRIMARY | |||
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m9898
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PRIMARY | Merck Index | ||
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Sildenafil
Created by
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PRIMARY | |||
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DB00203
Created by
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PRIMARY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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TRANSPORTER -> INHIBITOR | |||
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METABOLIC ENZYME -> SUBSTRATE | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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METABOLIC ENZYME -> SUBSTRATE | |||
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SALT/SOLVATE -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE ACTIVE -> PARENT | |||
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METABOLITE -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |